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It might be good for him to be on one of them -- they are pretty safe. I think of it as something that at least helps a bit, even if there's no obvious direct relief. Geoff Skerritt tends to start them on frusemide but as that is a diuretic I prefer cimetidine or omeprazole. I have Leo on omeprazole but Lily can't tolerate it so she is on cimetidine. The main change to this version of the treatment diagram is adding in the other CSF inhibitors, I think.